Provider Demographics
NPI:1912046731
Name:ZAMRIN, DONNA LYNNE (DO)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:LYNNE
Last Name:ZAMRIN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O.BOX 1373
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04070-1373
Mailing Address - Country:US
Mailing Address - Phone:207-415-0077
Mailing Address - Fax:
Practice Address - Street 1:17 MALLISON FALLS RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-4101
Practice Address - Country:US
Practice Address - Phone:207-893-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1245207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine